A mad rush to the playground turned into a stampede that left dozens of elementary school children hurt and seven severely injured in western China on Monday, state media and officials said.

Students at the Number 5 Elementary School in Aksu city were rushing downstairs for after-class exercises around noon when some students fell, the official Xinhua News Agency said. The report said that other students then pushed to squeeze through the narrow stairway, trampling on those that had fallen.

Xinhua reported that 41 students were admitted to the Aksu’s No. 1 People’s Hospital for treatment, with seven of them seriously injured. No deaths were reported.

An official with the Aksu government’s propaganda office, who only gave his surname, Lu, said an investigation was under way. It was unclear whether teachers or other adults were present during the incident.

School safety in China came under scrutiny earlier this year when a string of stabbings around the country killed and injured dozens of schoolchildren. The attacks prompted Chinese authorities to tighten security at schools. Police and guards were posted at entrances and video surveillance and intruder alarms installed on some school premises.

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